多腔体心脏磁场模型的研究与应用

朱俊杰; 蒋式勤; 王伟远; 赵晨; 王永良; 李文生; 权薇薇

doi:10.7498/aps.63.058703

摘要

利用核磁共振图像（MRI）中提取的人体和心脏边界，根据边界元方法（BEM）建立了一个考虑左、右心房和心室的多腔体心脏磁场模型. 分析了用该模型得到的36通道心脏磁场数据和特定时刻的磁场图. 并在此基础上，研究了完全性右束支传导阻滞（CRBBB）和完全性左束支传导阻滞（CLBBB）病人ST-T段的心脏电活动. 结果显示，用移动单电流偶极子模拟的单束支电兴奋传导所产生的磁场图与用超导量子干涉器（SQUID）测量的CRBBB/CLBBB病人数据绘制的心脏复极时的心磁图（MCG）十分相似. 结果表明，该多腔体心脏BEM模型可用于CLBBB/CRBBB病人心脏磁场逆问题的研究. 此外，文中给出了两个评价指标：测量平面上多腔体与单腔体的心脏磁场强度极大值之比，以及两种模型的36个测量点上磁场强度均方根之比. 分析表明，多腔体心脏模型更贴近人体心脏的实际情况. 该模型中心脏组织电导率参数的取值，以及等效电流偶极子的位置和个数决定了磁场的强度和分布.

关键词:

Abstract

A multi-chamber heart magnetic field model with two atria and two ventricles, boundaries of which were picked up from a magnetic resonance imaging, was established based on the boundary element method (BEM). Moreover, the model-based 36-channel cardiac magnetic field data and magnetic field maps at a specific time were analyzed. We also studied the heart electrical activity during ST-T segment from patients with complete right bundle branch block (CRBBB) and complete left bundle branch block (CLBBB) by the model, respectively. Results show that the model-based magnetic field map generated by the electrical excitation with a moving single current dipole in single bundle branch is similar to the magnetocardiogram (MCG) of the CRBBB/CLBBB patient acquired using a superconducting quantum interference device (SQUID) in cardiac repolarization. It demonstrates that the multi-chamber heart BEM model can be used to study cardiac magnetic inverse problem of CLBBB/CRBBB patient. In addition, two evaluation criteria are given as follows: the ratio of the maximum on the magnetic field strength measurement plane in the multi-chamber model to that in the single-chamber model; and the ratio of root mean squares of the magnetic field strength at the 36 measurement points of the two models. This result indicates that the magnetic field maps generated by the multi-chamber heart model are close to the measured MCG maps. In this model, the strength and topography of the magnetic field lie in the conductivity parameters of cardiac tissues, the position and the number of the equivalent current dipoles.

Keywords:

boundary element method (BEM) model /
magnetocardiography (MCG) /
cardiac electrical activity /
complete left/right bundle branch block (CLBBB/CRBBB)

作者及机构信息

1.
同济大学电子与信息工程学院, 控制科学与控制工程系, 上海 201804;

2.
中国科学院上海微系统与信息技术研究所, 上海 200050;

3.
复旦大学上海医学院数字医学研究中心, 上海市医学图像处理与计算机辅助手术重点实验室, 上海 200032;

4.
瑞金医院心内科, 上海交通大学医学院, 上海 200025

基金项目: 国家自然科学基金（批准号：60771030）、国家高技术研究发展计划（批准号：2008AA02Z308）、上海市重点基础研究发展计划（批准号：08JC1421800）、上海市重点学科建设项目（批准号：B004）、信息功能材料国家重点实验室（中国科学院上海微系统与信息技术研究所）开放课题和上海市医学图像处理与计算机辅助手术重点实验室开放课题（批准号：13DZ2272200-2）资助的课题.

Authors and contacts

1.
School of Electronics and Information Engineering, Tongji University, Shanghai 201804, China;

2.
Shanghai Institute of Microsystem and Information Technology, Chinese Academy of Sciences, Shanghai 200050, China;

3.
Digital Medical Research Center, Shanghai Medical College of Fudan University, Shanghai Key Laboratory of Medical Imaging Computing and Computer Assisted Intervention, Shanghai 200032, China;

4.
Department of Cardiology, Rui Jin Hospital and College of Medicine, Shanghai Jiao Tong University, Shanghai 200025, China

Funds: Project supported by the National Natural Science Foundation of China (Grant No. 60771030), the National High-Technology Research and Development Program of China (Grant No. 2008AA02Z308), the Shanghai Science and Technology Development Foundation (Grant No. 08JC1421800), the Shanghai Leading Academic Discipline Project (Grant No. B004), the Open Project of State Key Laboratory of Function Materials for Information (Shanghai Institute of Microsystem and Information Technology, Chinese Academy of Sciences), and the Key Laboratory of Medical Imaging Computing and Computer Assisted Intervention of Shanghai (Grant No. 13DZ2272200-2).

参考文献

[1]	Gulrajani R M, Mailloux G E 1983 Circulation Research 52 45
[2]	Plonsey R 1999 Bioelectric phenomena (Wiley Online Library)
[3]	Malmivuo J, Plonsey R 1995 Bioelectromagnetism: principles and applications of bioelectric and biomagnetic fields (USA: Oxford University Press) pp187-188
[4]	Geselowitz D B 1970 IEEE Transactions on Magnetics 6 346
[5]	Geselowitz D B, Miller W I 1973 IEEE Transactions on Magnetics 9 392
[6]	Sarvas J 1987 Phys. Med. Biol. 32 11
[7]	Nenonen J, Katila T, Leinio M, Montonen J, Makijarvi M, Siltanen P 1991 IEEE Transactions on Biomedical Engineering 38 648
[8]	Czapski P, Ramon C, Haueisen J, Huntsman L L, Nowak H, Bardy G H, Leder U, Yongmin K 1998 IEEE Transactions on Biomedical Engineering 45 1313
[9]	Ramon C, Czapski P, Haueisen J, Huntsman L L, Nowak H, Bardy G H, Leder U, Yongmin K, Nelson J A 1998 IEEE Transactions on Biomedical Engineering 45 1323
[10]	Fischer G, Tilg B, Wach P, Lafer G, Rucker W 1998 Computer Methods and Programs in Biomedicine 55 99
[11]	Purcell C J, Stroink G, Horacek B M 1998 IEEE Transactions on Biomedical Engineering 35 671
[12]	Haueisen J, Schreiber J, Brauer H, Knosche T R 2002 IEEE Transactions on magnetics 38 1045
[13]	Stenroos M, Mä ntynen V, Nenonen J 2007 Computer Methods and Programs in Biomedicine 88 256
[14]	Kaufman W, Johnston F D 1943 American Heart Journal 26 42
[15]	Gabriel S, Lau R W, Gabriel C 1996 Phys. Med. Biol. 41 2271
[16]	Burger H C, van Milaan J B 1943 Acta Medica Scandinavica 114 584
[17]	Rush S, Abildskov J A, Mcfee R 1963 Circulation Research 12 40
[18]	Keller D U J, Weber F M, Seemann G, Dossel O 2010 IEEE Transactions on Biomedical Engineering 57 1568
[19]	Czapski P, Ramon C, Huntsman L L, Bardy G H, Kim Y 1996 Phys. Med. Biol. 41 1247
[20]	Czapski P, Ramon C, Haueisen J, Huntsman L L, Nowak H, Bardy G H, Leder U, Yongmin K 1998 IEEE Transactions on Biomedical Engineering 45 1313
[21]	Kaufman W, Johnston F D 1943 American Heart Journal 26 42
[22]	Schwan H P, Kay C F 1956 Circulation Research 4 664
[23]	Geselowitz D B 1967 Biophysical Journal 7 1
[24]	Vladimirov V S 1971 Equations of Mathematical Physics (New York: Marcel Dekker) pp302-305
[25]	Finlayson B A, Scriven L E 1966 Applied Mechanics Reviews 19 735
[26]	Finlayson B A 1972 The method of weighted residuals and variational principles (Academic Press New York)
[27]	Wang W Y, Zhao C, Lin Y Z, Zhang S L, Xie X M, Jiang S Q 2013 Phys. Med. Sin. 62 128703 (in Chinese) [王伟远, 赵晨, 林玉章, 张树林, 谢晓明, 蒋式勤 2013 物理学报 62 128703]
[28]	Tang F K, Hua N, Lu H, Tang X Z, Wang Q, Ma P 2011 Chin. Phys. B 20 010702

施引文献

[1]	Gulrajani R M, Mailloux G E 1983 Circulation Research 52 45
[2]	Plonsey R 1999 Bioelectric phenomena (Wiley Online Library)
[3]	Malmivuo J, Plonsey R 1995 Bioelectromagnetism: principles and applications of bioelectric and biomagnetic fields (USA: Oxford University Press) pp187-188
[4]	Geselowitz D B 1970 IEEE Transactions on Magnetics 6 346
[5]	Geselowitz D B, Miller W I 1973 IEEE Transactions on Magnetics 9 392
[6]	Sarvas J 1987 Phys. Med. Biol. 32 11
[7]	Nenonen J, Katila T, Leinio M, Montonen J, Makijarvi M, Siltanen P 1991 IEEE Transactions on Biomedical Engineering 38 648
[8]	Czapski P, Ramon C, Haueisen J, Huntsman L L, Nowak H, Bardy G H, Leder U, Yongmin K 1998 IEEE Transactions on Biomedical Engineering 45 1313
[9]	Ramon C, Czapski P, Haueisen J, Huntsman L L, Nowak H, Bardy G H, Leder U, Yongmin K, Nelson J A 1998 IEEE Transactions on Biomedical Engineering 45 1323
[10]	Fischer G, Tilg B, Wach P, Lafer G, Rucker W 1998 Computer Methods and Programs in Biomedicine 55 99
[11]	Purcell C J, Stroink G, Horacek B M 1998 IEEE Transactions on Biomedical Engineering 35 671
[12]	Haueisen J, Schreiber J, Brauer H, Knosche T R 2002 IEEE Transactions on magnetics 38 1045
[13]	Stenroos M, Mä ntynen V, Nenonen J 2007 Computer Methods and Programs in Biomedicine 88 256
[14]	Kaufman W, Johnston F D 1943 American Heart Journal 26 42
[15]	Gabriel S, Lau R W, Gabriel C 1996 Phys. Med. Biol. 41 2271
[16]	Burger H C, van Milaan J B 1943 Acta Medica Scandinavica 114 584
[17]	Rush S, Abildskov J A, Mcfee R 1963 Circulation Research 12 40
[18]	Keller D U J, Weber F M, Seemann G, Dossel O 2010 IEEE Transactions on Biomedical Engineering 57 1568
[19]	Czapski P, Ramon C, Huntsman L L, Bardy G H, Kim Y 1996 Phys. Med. Biol. 41 1247
[20]	Czapski P, Ramon C, Haueisen J, Huntsman L L, Nowak H, Bardy G H, Leder U, Yongmin K 1998 IEEE Transactions on Biomedical Engineering 45 1313
[21]	Kaufman W, Johnston F D 1943 American Heart Journal 26 42
[22]	Schwan H P, Kay C F 1956 Circulation Research 4 664
[23]	Geselowitz D B 1967 Biophysical Journal 7 1
[24]	Vladimirov V S 1971 Equations of Mathematical Physics (New York: Marcel Dekker) pp302-305
[25]	Finlayson B A, Scriven L E 1966 Applied Mechanics Reviews 19 735
[26]	Finlayson B A 1972 The method of weighted residuals and variational principles (Academic Press New York)
[27]	Wang W Y, Zhao C, Lin Y Z, Zhang S L, Xie X M, Jiang S Q 2013 Phys. Med. Sin. 62 128703 (in Chinese) [王伟远, 赵晨, 林玉章, 张树林, 谢晓明, 蒋式勤 2013 物理学报 62 128703]
[28]	Tang F K, Hua N, Lu H, Tang X Z, Wang Q, Ma P 2011 Chin. Phys. B 20 010702

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